Individual provider Active NPI

Aiste Miliauskaite

  • Medical Physician Assistant
  • San Ramon, CA
National Provider Identifier
1528758018
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA65116 Issued in CA
Practice address
1081 Market PL Ste 500
San Ramon, CA 94583-4750
Phone
(669) 235-4188
Fax
(669) 235-4221
NPI assigned
May 9, 2023
Last updated
Oct 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA65116 CA Primary

Addresses

Primary practice location

1081 Market PL Ste 500
San Ramon, CA 94583-4750

Mailing address

4847 Hopyard Rd Ste 4387
Pleasanton, CA 94588-3360
Phone (669) 235-4188

Other practice location 1

175 N Jackson Ave Ste 202
San Jose, CA 95116-1909
Phone (669) 235-4188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241022002377 CA Practitioner - Physician Assistant 4587196027 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA65116CAMDMedical Physician Assistant

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1683590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1528758018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4847 HOPYARD RD STE 4387",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945883360",
            "telephone_number": "669-235-4188",
            "fax_number": "669-235-4221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1081 MARKET PL STE 500",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945834750",
            "telephone_number": "669-235-4188",
            "fax_number": "669-235-4221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "175 N Jackson Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951161909",
            "country_code": "US",
            "telephone_number": "669-235-4188",
            "fax_number": "669-235-4221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILIAUSKAITE",
        "first_name": "AISTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-09",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA65116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

Verify at the official NPI Registry.